Medical Park Center Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9-2507 Issued in OK

Legal business name

MEDICAL PARK CENTER PHARMACY INC

Doing business as

MEDICAL PARK CENTER PHARMACY

Practice address

3400 E Frank Phillips Blvd
Ste 203
Bartlesville, OK 74006-2495

Phone

(918) 331-2525

Fax

(918) 331-2589

NPI assigned

Sep 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brent Moore, DPH

Title

Owner

Phone

(918) 331-2525

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• MEDICAL PARK CENTER PHARMACY Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julia A Heath, D.PH.

  • Pharmacist
  • Bartlesville, OK
  • NPI 1215947197
  NPD (past)
• Michael Brent Moore, D.PH.

  • Pharmacist
  • Bartlesville, OK
  • NPI 1720122336
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1124128962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD",
            "address_2": "STE 203",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062495",
            "telephone_number": "918-331-2525",
            "fax_number": "918-331-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD",
            "address_2": "STE 203",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062495",
            "telephone_number": "918-331-2525",
            "fax_number": "918-331-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PARK CENTER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-331-2525",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "9-2507",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100237130A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2073828",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL PARK CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlyn Nicole McKinley
• Taylor McKinney
• Leandra McNeall
• Paul Wilson McQuillen Jr., M.D.
• Mylissa Genevra McWhorter
• Medical Park Homecare Inc
• Medwise LLC
• Diana K. Meek, RD/LD
• Anderson P Mehrle, MD
• Regina M Mellen, CRNA

• Community/Retail Pharmacy in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.